1 / 23

Kala-Azar & PKDL

MSF Experience: Leishmaniasis control in Fulbaria Upazilla of Mymensing district Date: 1 st September, 2012. Kala-Azar & PKDL. Parasitic disease (Leishmania donovani ) Transmitted by- Sand fly Host- Human (South East Asia) and many in other parts of the world Appears as

claude
Download Presentation

Kala-Azar & PKDL

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. MSF Experience: Leishmaniasis control in Fulbaria Upazilla of Mymensing districtDate: 1st September, 2012

  2. Kala-Azar & PKDL • Parasitic disease (Leishmania donovani) • Transmitted by- Sand fly • Host- Human (South East Asia) and many in other parts of the world • Appears as • Visceral leishmaniasis (Kala Azar) • Cutaneous and • Muco-cutaneous leishmaniasis.

  3. Kala-Azar and MSF • 1988: 1st KA patient treated by MSF • 1988-1994: >19000 KA patients treated in South Sudan • 1994: MSF realized that it should consider KA as a disease of importance because of its nature • 2002: Paromomycin + SSG • Till 2011 (December): > 100,000 KA treated Patients

  4. MSF Kala Azar Project in Bangladesh • Fulbaria Upazilla of Mymensing District • 2004: 1st assessment by MSF • 2009 (April) : 2nd assessment by MSF (Resulted in a Project) • 2009 (December): MoU signed between MoH and MSF • May/2010: 1st KA Patient was treated by MSF in Fulbaria

  5. Project Strategy Integrated case management • Active case finding 1) Blanket approach 2) Cluster approach (Index case based) • Treatment IRS (Indoor R. Spray) Ministry of Health

  6. Patient Flow • ORWS • Self • MoH • Others KATC Treated Observation Reffd KA: 1M, 3M, 6M and 12 M PKDL: 1M, 6M , 12M F/U 200 M. Index case

  7. Project description Clinic • 20 bed clinic (10 M / 10 F) • 07 Nurses • 02 national Medical Doctors & 01 M. Assistant • 02 Laboratory technicians • 01 Data manger • 01 Registrar • All supervised by 01 Expat Medical Doctor Out Reach • 39 ORWs • 16 OR Monitors • 02 OR Supervisors • All supervised by 01 Expat Nurse

  8. Case Definition Kala – Azar • Suspected: Fever > 2 weeks + Splenomegaly + Weight loss • Confirmed: Above features + rK-39 positive (Relapse- Spleen Aspiration) PKDL (Post Kala-Azar Dermal Leishmaniasis) • PKDL: H/O KA + Typical Lesions (Hypo pigmented, Not itchy usually)

  9. Treatment of KA and PKDL Drug: Liposomal Amphotericin B (L. AmB) Route: Slow IV (over 02 hrs) mixed with 5% DA Dose: • PKA- 15 mg/ Kg divided into 03 doses, 05 mg/ Kg/ day for 03 days (D0, D1 and D5) • Relapse KA- 25 mg/ Kg divided into 05 doses • PKDL- 30 mg/ Kg; 05 mg/ kg /day for 06 days (twice/ week for three weeks)

  10. Thank You

More Related